Organization Active NPI

Eye Care Group, PLLC

  • Eyewear Supplier
  • Ripley, TN
National Provider Identifier
1982633897
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE GROUP, PLLC
Practice address
790 Highway 51 N
Ste 24
Ripley, TN 38063-6192
Phone
(731) 635-0991
Fax
(731) 635-7372
NPI assigned
Jul 2, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Phillip Earl Agee, O D
Title
Chief Manager
Phone
(731) 784-1186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

790 Highway 51 N
Ste 24
Ripley, TN 38063-6192

Mailing address

PO Box 509
Humboldt, TN 38343-0509
Phone (731) 784-1186

Other identifiers 1

IdentifierTypeStateIssuer
4105755OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Part of
Eye Care Group PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1982633897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383430509",
            "telephone_number": "731-784-1186",
            "fax_number": "731-784-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 HIGHWAY 51 N",
            "address_2": "STE 24",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380636192",
            "telephone_number": "731-635-0991",
            "fax_number": "731-635-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE GROUP, PLLC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "731-784-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4105755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.